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Individual
MS. THERESA M HENDERSON
Active
Individual
MS. THERESA M HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 2072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007822
VALUEOPTIONS
FL
01
—
230056
UNITED BEHAVIORAL HEALTH
FL
01
—
275650000
MAGELLAN HEALTH SERVICES
FL
01
—
5650654
AETNA
FL
Enumeration date
09/26/2006
Last updated
07/08/2007
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